DR. DAIL FORREST LODGE SR. (NPI# 1043423809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043423809 |
| Entity Type | Individual |
| Full Name | DR. DAIL FORREST LODGE SR. |
| Credential | M.D. |
| Practice Address |
925 Highland Blvd, Suite 1180 Bozeman MT 59715 |
| Mailing Address |
1111 Meadow Lane Bozeman MT 59715 |
| Practice Telephone | 4065878631 |
| Mailing Telephone | 4065873925 |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
3541 | MT | Allopathic & Osteopathic Physicians |
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
A17153 | CA | Allopathic & Osteopathic Physicians |
| X | 2085B0100X |
Radiology Specialization: Body Imaging |
4514 | AZ | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 3541 | MT | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | A17153 | CA | Allopathic & Osteopathic Physicians |
| X | 208D00000X | General Practice | 4514 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
925 HIGHLAND BLVD, SUITE 1180 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932169182 | Heidi L Tuthill | Radiology | 1648 Ellis St Ste 201, Bozeman, MT 59715-8811 | 2006-03-23 |
| 1558584235 | Peter H Frech | Radiology | 915 Highland Blvd, Ste 4100, Bozeman, MT 59714-6905 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194884353 | John Kevin Maxwell | Radiology | 202 Prospect Dr, Glendive, MT 59330-1943 | 2006-12-06 |
| 1013021500 | Frances Mahon Deaconess Hospital | Radiology | 621 3rd St S, Glasgow, MT 59230-2604 | 2006-08-19 |
| 1497869572 | Martin A Kurland | Radiology | 621 3rd St S, Glasgow, MT 59230-2604 | 2006-08-18 |
| 1639102171 | Eastern Radiological Associates PC | Radiology | 2900 12th Ave N, 2e, Billings, MT 59101-7506 | 2006-07-08 |
| 1710937156 | Brady J Banta | Radiology | 2600 Wilson St, Miles City, MT 59301-5094 | 2006-05-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.